| Shiland Family Medicine | |
|
13640 Steelecroft Pkwy Suite 320 Charlotte NC 28278-7565 | |
| (803) 329-5131 | |
| (803) 366-6600 |
| Full Name | Shiland Family Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 13640 Steelecroft Pkwy, Charlotte, North Carolina |
| Authorized Official Name and Position | Daniel L. Wiens (SENIOR VICE PRESIDENT OF OPERATIONS) |
| Authorized Official Contact | 7043550648 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shiland Family Medicine Po Box 60114 Charlotte NC 28260-0114 Ph: (803) 329-5131 | Shiland Family Medicine 13640 Steelecroft Pkwy Suite 320 Charlotte NC 28278-7565 Ph: (803) 329-5131 |
| NPI Number | 1124357124 |
|---|---|
| Provider Enumeration Date | 12/22/2009 |
| Last Update Date | 03/25/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124357124 | NPI | - | NPPES |
| NPB357 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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